2018 Medicaid Managed Care Summit
Strategies to Serve the Rapidly Expanding Medicaid Population
September 27-28, 2018 * Omni Shoreham Hotel * Washington, DC

2018 Medicaid Managed Care Summit

Day(s)

:

Hour(s)

:

Minute(s)

:

Second(s)

About the Conference

Medicaid is the single largest source of health coverage in the U.S. Now more than ever before, states are relying heavily on managed care organizations to serve their Medicaid beneficiaries to improve the quality of care delivered and control costs. Bringing together Medicaid leaders from states and health plans, as well as government leaders and policymakers, this summit will address the most pressing issues facing state Medicaid managed care. You will learn about national trends and innovative programs to best serve the growing Medicaid population; current federal and state policies and regulations; strategies to better manage utilization of health services; social determinants of health to better serve members; improvements in healthcare quality and outcomes; how to best coordinate care for complex populations; coordinating and integrating LTSS in managed care plans; how to achieve value-based care; and much more.

Who Should Attend?

From State & Government Agencies:

Directors and Managers of:

  • State Medicaid
  • Managed Care
  • Health Services/Healthcare Programs
  • Human/Social Services
  • Medical Assistance
  • Strategic Planning
  • Policy Analysis
  • Compliance
  • Quality Assurance
  • Quality Improvement
  • Healthcare Financing

From Health Plans & Managed Care Organizations:

Directors and Managers of:

Chief Executive Officers, Chief Operating Officers, Chief Financial Officers, Chief Medical Officers, Chief Strategy Officers, and Chief Information Officers
Also, Presidents, Vice Presidents, Directors and Managers of:

  • Medicaid
  • Long-Term Care
  • Behavioral Health
  • Sales and Marketing
  • Network Development
  • Compliance
  • Clinical Affairs
  • Finance
  • Operations

This Program is Also Relevant to:
Organizations Providing Services for:

Care Management Technology * Care Management for the Elderly * Pharmacy Benefit Administrators * Health Management Solutions * Behavioral Health Services * Revenue Enhancement Services * Reinsurance Services

Conference Agenda

Day One – Thursday, September 27, 2018

7:15am – 8:00am

Conference Registration & Networking Breakfast

8:00am – 8:15am

Chairperson’s Opening Remarks

8:15am – 9:00am

Keynote

9:00am – 9:45am

Building a Culture of Engagement for Medicaid Managed Care Members

This session will address strategies for effective Medicaid managed care member engagement. Topics to be discussed will include:

Engaging members through advocacy and outreach programs

Connecting members to resources and helping them navigate the healthcare system

The case managers role in member engagement

Incentives that drive high-value behaviors and more personalized connections

Early engagement strategies

Developing a member-centric, collaborative approach to care management

Health needs assessments

Shared decision-making models

Jeffrey T. King, RN, MBA

Vice President Healthcare Services

Molina Healthcare of Florida

9:45am – 10:15am

Networking & Refreshments Break

10:15am – 11:00am

Kentucky: Helping to Engage and Achieve Long Term Health

The Kentucky HEALTH waiver was the first to receive CMS approval for a waiver that includes "community engagement" (not just work!) requirements as a condition for ongoing Medicaid eligibility. Specifically, this presentation will highlight how this program:

·        Improves the health and quality of life for participants

·         Engages beneficiaries in investing in their own health and well-being

·         Prepares and supports individuals for self-sufficiency

·         Encourages communities to engage with individuals needing resources to transition to self-sufficiency

·         Strengthens the SUD/behavioral health delivery system

·         Ensures the long term sustainability of the Medicaid program

Jill R. Hunter

Deputy Commissioner, Kentucky Department for Medicaid Services
Kentucky Cabinet for Health and Family Services

Kristi Putnam

Program Manager, Kentucky HEALTH Team

Kentucky Cabinet for Health and Family Services

11:00am – 11:45am

State Approaches to Medicaid Expansion

This session will examine what states are doing to expand Medicaid to beneficiaries who are newly eligible for the program. Topics to be discussed will include:

Education and outreach efforts

Delivery system reform

Capacity needs

Benefit design and development

Zane A. Chrisman

Deputy Commissioner, Regulatory Health Link and Rate Review Division

Arkansas Insurance Department

11:45am – 1:00pm

Lunch

1:00pm – 1:45pm

Solutions to Tackle Opioid Misuse and Addiction and Ensuring Access to Effective Treatment

In this session learn what states are doing to prevent opioid misuse and addiction and improve the quality of care for the Medicaid managed care population. Topics to be discussed will include:

Measures to curb overprescribing

Improving access to quality treatment programs

Challenges associated with the development of enhanced opioid treatments

The impact on state budgets

Strategies for partnering with outside agencies to help members remain engaged in treatment

John C. Stancil, Jr. RPh

Director of Pharmacy, DMEPOS, Home Care and Ancillary Services

Division of Medical Assistance

North Carolina Department of Health and Human Services

1:45pm – 2:30pm

Behavioral Health within ACOs within Managed Care - How's It Working?

Accountable care organizations (ACOs) are becoming critical to the Medicaid and Medicare Care delivery system total cost of care savings, incentive payments and other strategies are part of managed care contracting with ACOs. Behavioral health organizations have been integrated in Rhode Island Medicaid’s ACOs since their inception in 2015. This session will provide an overview of the organization of BH providers and their patients within the managed care and ACO contract as well as the outcomes of the performance of the Year One Pilot period with Rhode Island managed Medicaid members.

Deborah J. Florio

Associate Director, Strategy and Financing

Rhode Island Department of Behavioral Health, Developmental Disabilities and Hospitals

2:30pm – 3:00pm

Networking & Refreshments Break

3:00pm – 4:15pm

Panel: Value-Based Payments in Medicaid Managed Care

States are increasingly looking to move away from volume-driven fee-for-service payments and

toward value-based payment arrangements. This panel will explore state options for using

managed care contracts to accelerate value-based payment arrangements. Topics to be discussed will include:

Establishing quality metrics

Baselines for patient outcomes

Determining parameters for “improved health”

Panelists:

Chad Corbett, MPA, HS-BCP

Vice President, Long Term Care

Mercy Care Plan

Nicole Sunder, LCSW, CCM

Vice President Clinical Health Services

Aetna Better Health® of Illinois

4:15pm – 5:00pm

Moving Toward Truly Whole-Person Care

Washington State is working to ensure our health care systems address the whole person. Topics to be discussed include:

The importance of integrating physical (including oral) and behavioral health

 Using community capacity to ensure the health care system addresses social health such as food insecurity, and employment and housing supports

Using payment reform strategies such as bundled payments to accelerate whole-person care

Susan E. Birch, MBA, BSN, RN

Executive Director

Washington State Health Care Authority

5:00pm

End of Day One

Day Two – Friday, September 28, 2018

7:15am – 8:00am

Networking Breakfast

8:00am – 8:15am

Chairperson’s Remarks

8:15am – 9:00am

Innovative Pilots Turned Best Practices in Medicaid Managed Care

Learn about what plans are doing to implement rapid cycle pilot programs that are likely to develop into best practices, and how you can best implement this process in your organization. Topics to be discussed will including:

Aligning strategies to improve quality, manage cost and drive innovation

Designing quality programs through rapid cycle improvement process method

Measuring effectiveness of programs that impact high utilizers of Medicaid services

Leveraging results to implement programs that best serve populations with complex conditions

Rosa I. Rivera-Lozada, RT, RN, BSN, MSN

Senior Director, Field Health Services

WellCare Health Plans, Inc.

Ginny R. Yates, PharmD

Senior Director, State Pharmacy Performance

WellCare Health Plans, Inc.

9:00am – 9:45am

November Election: Impact to Medicaid at the Federal and State Level
This session will discuss the upcoming November election. At the federal level, how will retirements and a possible "blue wave" change the national conversation on health care policy, especially around Medicaid? For state races, with a number of governor elections and possible "blue waves" impacting state General Assembly makeup, what will this mean to the Medicaid system?

Patricia D. Byrnes

Director – Federal Affairs, Government and External Affairs

AmeriHealth Caritas Family of Companies

9:45am – 10:30am

Incorporating Long Term Services and Supports into Managed Care

In Iowa, the Iowa Medicaid program transitioned to a comprehensive managed care model effective April 1, 2016, including incorporation of all Long Terms Services and Supports. Ms. Matney brings forward success stories, lessons learned, challenges, and models of oversight to share based on her experience implementing and maintaining this program in her state.

Elizabeth Matney

Bureau Chief, Medicaid Managed Care

Iowa Department of Human Services

10:30am – 11:00am

Networking & Refreshments Break

11:00am – 12:00pm

Integrating Care Beyond Traditional Managed Care

States are implementing a range of initiatives to coordinate and integrate care beyond traditional managed care. This session will address lessons learned from these models, including:

Integrating MLTSS, acute care, behavioral health, medical and pharmacy services

How integration can improve quality and reduce costs

Improving care for populations with chronic and complex conditions

Aligning payment incentives with performance goals

Building in accountability

Jeanne James, MD

Vice President and Chief Medical Officer

BlueCross BlueShield of Tennessee

Frances Martini, RN, BSN, MBA
Population Health Vice President

BlueCross BlueShield of Tennessee

Stephani Ryan

Vice President – LTSS Programs

BlueCross BlueShield of Tennessee

12:00pm – 12:45pm

The Future of the Healthcare Landscape and Medicaid

There is a lot of uncertainty surrounding what the future of healthcare will look like – in particular, Medicaid. This session will present an overview of the current healthcare and Medicaid landscape, important considerations and what to expect in the future, what you should be focusing on, and how potential changes might affect your operations and strategy. Learn about regulations that are likely to impact the Medicaid managed care market over the next few years, as well as topics such as:

Implications to state budgets and what this means for the Medicaid population

How to adjust your strategy to meet the goals of current as well as upcoming implementation requirements and dates

Compliance challenges and efforts to increase transparency and accountability

Implications to managed care organizations and state contracts and relationships

Funding challenges and policy priorities

Ashley A. H. Gray, MPP

Director, State Affairs - Medicaid

Blue Cross Blue Shield Association

12:45pm

Conference Concludes

Workshop – Friday, September 28, 2018

1:00pm – 3:00pm

Generating Results for States from Medicaid Managed Care Using Quality Ratings and Other Measures

Medicaid managed care is under increasing scrutiny. More and more Medicaid beneficiaries and dollars are in Medicaid managed care – yet there is limited evidence that it is generating meaningful results for states or for health plan members. So what information will state legislators and other decisionmakers need as they face tough decisions about the future of Medicaid managed care programs?

This workshop will address approaches both states and Medicaid health plans can take (and, in some cases, are taking) to better manage for and demonstrate the results. The speaker and workshop participants will examine how states can use available data, including but not limited to quality ratings, to:

  • Set goals and performance targets to generate meaningful results
  • Increase transparency and oversight
  • Bolster approaches states use in contracting with managed care plans
  • Demonstrate a return on the state’s investment in Medicaid managed care programs and health plans
  • Establish clinical and demographic focus areas such as health disparities, beneficiaries with special healthcare needs, and people in need of LTSS

Anne Jacobs

Riverstone Health Advisors

Featured Speakers

Jeffrey T. King, RN, MBA

Jeffrey T. King, RN, MBA

Vice President Healthcare Services

Molina Healthcare of Florida

Jill Hunter

Jill Hunter

Deputy Commissioner

Kentucky Cabinet for Health and Family Services

Kristi Putnam

Kristi Putnam

Program Manager, Kentucky HEALTH Team

Kentucky Cabinet for Health and Family Services

John C. Stancil, Jr. RPh

John C. Stancil, Jr. RPh

Director of Pharmacy, DMEPOS, Home Care and Ancillary Services, Division of Medical Assistance

North Carolina Department of Health and Human Services

Chad Corbett, MPA, HS-BCP

Chad Corbett, MPA, HS-BCP

Vice President, Long Term Care

Mercy Care Plan

Patricia (Patty) Byrnes

Patricia (Patty) Byrnes

Federal Affairs Director

The AmeriHealth Caritas Family of Companies

Elizabeth Matney

Elizabeth Matney

Bureau Chief, Medicaid Managed Care

Iowa Department of Human Services

Jeanne James, MD

Jeanne James, MD

Vice President and Chief Medical Officer

BlueCross BlueShield of Tennessee

Frances Martini, RN, BSN, MBA

Frances Martini, RN, BSN, MBA

Population Health Vice President

BlueCross BlueShield of Tennessee

Stephani Ryan

Stephani Ryan

Vice President – LTSS Programs

BlueCross BlueShield of Tennessee

Zane A. Chrisman

Zane A. Chrisman

Deputy Commissioner, Regulatory Health Link and Rate Review Division

Arkansas Insurance Department

Ryan Ashe, MPA, PMP

Ryan Ashe, MPA, PMP

Director of Medicaid Payment Reform

New York State Department of Health

Scott Strenio

Scott Strenio

Medical Director, Department of Health Access

State of Vermont

Susan E. Birch, MBA, BSN, RN

Susan E. Birch, MBA, BSN, RN

Executive Director

Washington State Health Care Authority

Rosa I. Rivera-Lozada, RT, RN, BSN, MSN

Rosa I. Rivera-Lozada, RT, RN, BSN, MSN

Senior Director, Field Health Services

WellCare Health Plans, Inc.

Ginny R. Yates, PharmD

Ginny R. Yates, PharmD

Senior Director, State Pharmacy Performance

WellCare Health Plans, Inc.

Ashley A. H. Gray

Ashley A. H. Gray

Director, State Affairs

Blue Cross Blue Shield Association

Anne Jacobs

Anne Jacobs

Principal

Riverstone Health Advisors

Deborah J. Florio

Deborah J. Florio

Associate Director, Strategy and Financing

Rhode Island Department of Behavioral Health

Nicole Sunder, LCSW, CCM

Nicole Sunder, LCSW, CCM

Vice President Clinical Health Services

Aetna Better Health® of Illinois

Venue

Omni Shoreham Hotel
2500 Calvert Street NW
Washington, DC 20008
202-234-0700

Mention BRI Network to get the discounted rate of $209/night

Sponsors and Exhibitors

Media Partners

Managed Care delivers high-interest articles and features developed through original research and writing. Its editorial mission is to advise managed markets physicians, pharmacists, and executives on the integration of the business and medical aspects of the rapidly changing managed care market. A strict fact-checking and peer-review process assures the accuracy and relevance of editorial content.

Mostly Medicaid is a trusted strategy consultant for decision makers across the Medicaid Industry. Our main focus areas include translating state-level Medicaid requirements, implementation assistance, policy development and helping clients incorporate data-driven best practices into their programs. We help clients navigate the complex Medicaid requirements and policy landscape to succeed operationally and financially. Past and current consulting clients include state and federal agencies, health plans, pharmaceutical companies, claims and eligibility system operators, analytics companies, non-profits and other organization types.

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 3 weeks prior to the event will receive a refund minus the administration fee of $185. Cancellation received less than 3 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket
Request Brochure

Register Your Team Today!

Register Now
Ask A Question

Be A Thought Leader And Share!

Pin It on Pinterest